Basic Information
| Provider Information | |||||||||
| NPI: | 1730120627 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ST. FRANCIS HOME HEALTH, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5150 SW GRIFFITH DR | ||||||||
| Address2: | |||||||||
| City: | BEAVERTON | ||||||||
| State: | OR | ||||||||
| PostalCode: | 970052935 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5036465186 | ||||||||
| FaxNumber: | 5036443568 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 E CHESTNUT ST | ||||||||
| Address2: | |||||||||
| City: | BELLINGHAM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982255241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606715872 | ||||||||
| FaxNumber: | 3606715877 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | PRYOR | ||||||||
| AuthorizedOfficialFirstName: | BRIAN | ||||||||
| AuthorizedOfficialMiddleName: | E | ||||||||
| AuthorizedOfficialTitleorPosition: | VP OPERATIONS | ||||||||
| AuthorizedOfficialTelephone: | 5036465186 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | IS-089 | WA | Y | Agencies | Home Health |
No ID Information.